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Home My WebLink About861-zTOWN OF SOUTNOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY THiS CERTIFIES that the, building located ot~/~.....O~d...~4~e..~a~e ......................... Street Map No. ~ .................. r Block No.X,'f, T2 ................. Lot Nb. :X~ ........ ~'~t;,~.~.~k~,...,,~,,.~, .............. Conforms substantially to the Application for Building Permit 'heretofore filed in this office dated ;. ...... ; .................. ~e.~l~e~.,,, 19~.~..., pursuant to which Building Permit No, -,~..86~ ........... dated ...................... ~.~....~.9 ............. 19..~'.~).,, was issued, and conforms to all of the requirements of the applicable provisions of the Iow. The occupancy for which this certificate is issued is ................ · i .................... Pmt~.~e,.,ar~a...f. ami~...~lwe,ll£n~ ............... , ........................... : .............................. This certificate is issued to .:~Z~eS.~,..t~.~3tt¢ ............... (...~o~wn~.,t;~.;~,.;.~7,~;~.;.~.t~i ..................... of the aforesaid building. TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 861' z Date ................... 8e~e~b~'~....29 .............195~ .... Permission is hereby granted to: E~.~.~.~.~..~$~ .............................................. at premises located at O~..~t.l~.~. ....... .~t~tit~ks [f.,7[~, ................. i ' \ pursuant to application dated ............................. ,B~l~.%o.......~O ............... 19.~.9..., and opprovedby the Building Inspector ~ Fee $~..0~.. .............. TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. Approved .................................... , 19.....q...Permit No ................................. (Building inspector) APPLICATION FOR BUILDING PERMIT Date ................... ,S.e.l~t. ~he~..... 2.9. ........ , 19.5.9... INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Building inspector. b. Plot plan showing location of lot ond of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of prope,rty must be drawn on the diagram which is part of this location. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permit shall be kept on the premises available for inspe,ction throughout the progress of the work. e. No building shall be occupied or used in whole, or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the. Town of Southold Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for remova or demo ition, as herein described. The applicant agrees to comply with all applicable laws, ordinances and regulations. Ernes% E. W±:l~ber~ (Signature of applicant, or name, if a corporation) [~attituck, N.Y. (Addre,ss of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. remises Ernest E. Wi3 sberg . Name of owner of p ............................... ; .................................................................................................................. If applicant is a corporate, signature of duly authorized officer. (Name and title of corporata officer) 1. Location of land on which proposed work will be done. Map No: .$.ah~z:Q~k~. ........................... Lot No:.~, ............ Street and Number .....0..Z..d...~¥L~.9...T~,~l~.....£.t..]9..T:.~..qg.13....%]0.~..~.~.Q.~q) ......... ~I~,$..tj,.t.~c~.~,.....~].,.~., ............ [ ........................ Municipality 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy vacant lot b. Intended use and occupancy ............ 97.~..e...~..m.~y..fl.1~f~],$Ttg ............................................................................... 3. Nature of work (check which applicable): New Building ...... .Z.~ .......... Addition .................... Alteration .................... Repair .................... Removal .................... Demolition .................... Other Work (Describe) .................... 4. Estimated Cost ..25~..000,,0D ........ : ............................. Fee ..].¢1,~01~ .............................................................................. (to be paid on filing this application) 5. If dwelling, number.of dwelling unitsl~]~ll .................... Number of dwelling units on each floor .................................. If garage, number of cars ............ .~Wll; .......................................................................................................................... 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ................................ 7. Dimensions of existing structures, if qny: Front ............................ Rear ............................ Depth ................................ Height : Number of Stories Dimensions of same structure with alterations or additions: Front ................................ Rear ................................ Depth ......................... : ...... Height ............................... Number of Stories ................................ 8. Dimensions of entire n~w construction: Front ........ ~.~.~. ........Rear ...~0.!..~(~." ........... Depth .....3,3.1..-..~'?. ............ Height ............................ Number of Storles...,,~ ....................... 9. Size of lot: Front ..3,~0 ................... . Rear ......... ~ ............. Depth ..... ~:.~rl_/...2~B ....... 10. Date of Purchase .......... 'tg~tO ..................................... Name of Former Owner ...... ~.,..~.e.~.~.~JCl, ........................... 1 1. Zone or use district in which premises are s~tuated .......... ~....~'~l~,, ............................................................................ 12. Does proposed construction violate any zoning law, ordinance or regulation? ........ .~.O. ........................................... 13. Name of Owner of premises...~,.~;~.lP.b.~.[[ ............. Address .......~..~..¢'.P.P.~ ................... Phone NO ..................... Name of Architect ...... ~l~'.(7.e.~....~..~.~.b,~.~t~ ................. Address ....... :~...~.~..~...m~.~ ....... Phone NO. .................... Name of Contractor .................................................... Address .......................................... Phone NO: .................... , piLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions from property lines. Give street and block numbers or description according to deed, and show street names and indicate whether interior or corner lot. i STATE OF NEW YORK ) S.S. COUNTY OF ..~.~,¢..~ .......... ) ................... ..l~..~.?...~..:~.t.~...~..]'..l.b...e..~'~ ........................................... being duly sworn, deposes and says that he is the app'licont (Name of individual signing application) above named. ~e is the ............. ~..~..~..~1~1~.~ ........................................................................................................ i ....... (Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this ............ ..~,..~.,..~day of ..... ;"~~'~'~ 19'"~" '~"'" JUDITlt T BOK£~'~''~t''~A~ D,,I~I;~ ~ ~*~ '~'~"~' ~ ' ' ~ ~l~otary p.blic, State of New Notary ...... , ..:.~,.¢~.~,..~.... ~,o,~.,,~'~b, 52-0344963, Sulfolk co~t~gnature of applicant)